Is It Time For ACA 2.0?
Back in April when we were not absolutely sure who the nominees for president would be. Michael Cohen wrote “Obamacare: an unheralded success” in the Boston Globe. He  commented then that healthcare was not getting much discussion by Republicans beyond a flat out...
Old Fashioned Values Applied to Complex Times in Healthcare
An “Interested Reader “ and friend recently sent me a eulogy that he delivered at his father-in-law’s funeral. Let me give it to you to read, and then invite you to think with me about Don Berwick’s recent call for Era 3, the “Moral Era” of healthcare. I...
Patient and Family Centered Care and Lean in Healthcare Transformation
Patient and Family Centered Care and Lean in Healthcare Transformation Lately, I have been thinking a lot about the power of combining patient centeredness and Lean in healthcare transformation. These ideas became more focused after a recent call that worried me from...
Dartmouth and Iora Health, Partners in Innovation
I recently accompanied Dr. Rushika Fernandopulle on a visit to the Iora practice site in Hanover, New Hampshire which was created in partnership with Dartmouth College, King Arthur Flour (an employee owned company) , and the New England Carpenters Health Benefits...
Building a Causeway to The Mainland
There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things. For the reformer has enemies in all those who profit by the old order, and only lukewarm...
Looking Back At Dr. Ebert’s Innovation
There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things. For the reformer has enemies in all those who profit by the old order, and only lukewarm...
It Seems So Logical!
I was recently invited by Dr. Marc-David Munk, the Vice President, Accountable Care and Senior Medical Director for Medicare Practices at Iora Health to visit the “nest”, the home office of Iora Health. [Iora is a species of beautiful little birds found in India and...
From Cleveland to Philadelphia
A note to readers: Different points of view must be respected. Vilification of those who see the world differently does not enable progress toward shared objectives: a vibrant economy, improved safety, and opportunity and health for everyone or as Thomas Jefferson...
The Presidential Sweepstakes and Healthcare
Cleveland Edition Perhaps against my better judgement this posting and next week’s posting will draw from the events, emotions and the  intellectual content of the conventions of our two parties. I approach this self directed assignment with “fear and trembling”. I...Case Study – Elizabeth Mcarthy
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